FIRST AVENUE DENTAL, PA
NPI 1205997152
Dentist - General Practice in Little Falls, MN

Active since December 13, 2006
74 1ST AVE SE, LITTLE FALLS, MN 56345(320) 632-8113(320) 632-5584 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About First Avenue Dental, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST AVENUE DENTAL, PA (NPI 1205997152) is a healthcare organization registered as a general practice in Little Falls, Minnesota and active in the NPI registry since December 2006. The organization lists Suzette A Olson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1205997152
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFIRST AVENUE DENTAL, PA
Location Address74 1ST AVE SELittle Falls, MN 56345-3042
Mailing Address74 1st Ave SeLittle Falls, MN 56345-3042 · (320) 632-8113 · Fax (320) 632-5584
Fax(320) 632-5584
Organization SubpartNo
Authorized OfficialSuzette A OlsonDentist · (320) 632-8113
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1205997152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 11599
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
74 1ST AVE SE, Little Falls, MN 56345

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
74 1ST AVE SE
LITTLE FALLS, MN 56345
Dentist (General Practice)
74 1ST AVE SE
LITTLE FALLS, MN 56345
Dentist (General Practice)
74 1ST AVE SE
LITTLE FALLS, MN 56345
Dentist (General Practice)
74 1ST AVE SE
LITTLE FALLS, MN 56345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Avenue Dental, PA's NPI number?

The NPI number for First Avenue Dental, PA is 1205997152. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is First Avenue Dental, PA located?

First Avenue Dental, PA is located at 74 1st Ave SE, Little Falls, MN 56345. The listed phone number is (320) 632-8113.

What is First Avenue Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for First Avenue Dental, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.